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Home My WebLink AboutPermit Mechanical 2004-08-16Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01013ISSUED: 0811612004APPLIED: 08/1612004 EXPTRES-. 02n61200s VALUE: SITEADDRESS: 2801 20TH ST ASSESSOR'SPARCELNO.: 1703244204900 PROJECT DESCRIPTION: Change out AC. Owner: LAMBERT DONNA J Address: 2801 N 20TH ST SPRINGFIELD OR 97477 Springfietd TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential 141.Dr8(41r Contractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t2712005 Phone 541-726-0100 License 460 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of Structure of Heat: Type: Type: Path: Overlay Dist: # Street Trees Paved Drive Yo of Lot Building:nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Other: Load: tss Type: Downspouts/I)rains: * so90\ $ Per Sq Ft or multiplier Square Footage or Bid Amount PARKING Description Type of Construction Total Value of Project Value Date Calculated T LtJl\ II(ALTUK TI\IUryJ r, U rl,-url\ rJ..llr I lyll(rYtrllllllL.l Frontyard Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks:\ Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line FIBLI) Building/C ombination Permit PERMIT NO: COM2004-01013ISSUED: 0811612004APPLIED: 08/1612004 EXPIRESz 0211612005 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7olo State Surcharge Boiler/Comp 3-15 HP Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.15 $22.00 $23.00 $62.6s Date Paid 8n6104 8n6t04 8n6t04 8n6t04 8n6t04 Receipt Number 22004000000000010s4 2200400000000001054 2200400000000001054 2200400000000001054 2200400000000001054 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature Date Pase 2 of 2 r}'l r€elriuq_l Required lnspecttons I VlSzntr 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt relopment Services Department Public Works Department RECEIPT #: 2200400000000001054 Date: 0811612004 12:05:13PM Job/Journal Number coM2004-01013 coM2004-01013 coM2004-01013 coM2004-01013 coM2004-01013 Description Boiler/Comp 3-15 HP Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0o/o Administrative Fee Amount Due 22.00 23.00 10.00 3. l5 4.50 Item Total:$62.6s Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check COMFORT FLOW HEATING co. JMP 26886 In Person Payment Total: $62.6s $62.6s 811612004 Page I of 1 5l